The level of medical care to patients and the success of the implementation of the national project "Health" depend on the health status and doctor's professionalism. Modern healthcare reform is being implemented by optimizing costs, merging medical organizations, closing ineffective hospitals, expanding the use of high-tech care and informatization of the doctor's activities. All this makes it necessary to assess the health of doctors. Scientists have studied the quality of life and identified the professional burnout of doctors in children's clinics (...) in different age groups. Primary care pediatricians have a higher quality of life score when compared to the standard [1]. However, all groups have a high level of professional burnout. The pre-retirement group of doctors has more unfavorable profile. They are highly professional specialists but may experience emotional discomfort because the pension system has been reformed. This situation requires the introduction of preventive work with doctors of this age as a group with great potential and capable of professional longevity. (shrink)

Ch. 1. Metodologicheskie problemy sot︠s︡ialʹno-gumanitarnogo poznanii︠a︡ -- ch. 2. Metodologicheskie problemy istorii filosofii i ėstetiki.

Ch. 1. Ėtnologii͡a puteshestviĭ -- ch. 2. Mifologii͡a puteshestviĭ -- ch. 3. Filosofii͡a puteshestviĭ -- ch. 4 Apostolʹstvo puteshestviĭ -- ch. 5. Velike geograficheskie otkrytii͡a -- ch. 6 Uslugi dli͡a puteshestvennikov -- ch. 7 Industrii͡a turizma -- ch. 8 Rekreat͡sii͡a.

Издание адресовано специалистам в сфере философии и эстетики.

In lieu of an abstract, here is a brief excerpt of the content:184 BOOK REVIEWS knower, one may avoid undercutting the position that the cognitive powers are passive, without failing to do justice to the fact that aware· ness and discrimination are activities of the knower {pp. 71-72; 148· 49, n. 6). Second, Kai holds that the individual human being cannot really he said to have intuitive mind in himself: "Man has mind; hut only to a certain degree and without (...) mind losing its independence from the human whole.... the divine mind is present in man without los· ing its character of divine mind " (p. 75). If only God has intuitive mind {pp. 155, n. 32; 156-57, n. 13), how can the individual human being really know, even in the sense of having discursive thought? Since knowledge depends on first principles, what does not possess the intuitive mind which knows the first principles would, it seems, not properly have knowledge. The only hope for a definitive interpretation of the disconcertingly brief De Anima, 3. 5, lies in the possibility that one can establish a definite connection between this chapter and other elements in the Aris· totelian corpus, a connection that would elucidate the otherwise in· scrutable teaching on active mind. It is the great merit of Kai to have made an excellent case for a connection between De Anima, 3. 5, and two other elements in the Aristotelian corpus: nous as it functions in the logic and epistemology, and the unmoved mover of Metaphysics, Lambda. Exploring this connection in a penetrating and thorough analysis of a great body of Aristotelian and secondary te~ts, Kai has not merely taken a position on a more than two-thousand-year-old con· troversy, hut also has decisively advanced our understanding of active mind. St. John's University Jamaica, New York JAMES T. H. MARTIN Anselm Studies: An Occasional Journal. Vol. 2. Edited by JosEPH ScHNAUBELT, OSA, et al., White Plains, New York: Kraus Inter· national Publications, 1988. Pp. 634. $55.00. This volume contains the proceedings of the Fifth International Saint Anselm Conference (Villanova University, September 16-21, 1985). Held in conjunction with the Tenth International Patristic, Medieval, and Renaissance Conference, the meeting occasioned papers concen· trating on areas of "influence and juncture" in the life and thought of St. Anselm and St. Augustine. Given the dependence of much of Anselm's work on the thought of St. Augustine, the Conference took as its particular objective the understanding of the relationship between BOOK REVIEWS 185 faith and reason. While the focus of the papers in this volume includes both saints, the principal emphasis falls on Anselm as inheritor and interpretor of the methods and ideas of his intellectual ancestor. A brief introduction provides cameo presentations of Anselm's character as abbot, monk, and archbishop, together with a conspectus on Anselm's position vis-a-vis the canonical and ecclesiological issues of his day. The papers are then divided into five chapters: "Anselm's Monasticism." "The Proslogion Argument," "Truth: Anselm and Augustine," "Theological Method," and "The Anselmian Worldview." While the papers are of use to scholarly readers desiring detailed treatment of central issues in Anselm's logic and epistemology, the un· doubted strength of the collection lies in its well-calculated effort to integrate an understanding of Anselm's intellectual and spiritual out· look with the theological, spiritual, and literacy currents of his time. Especially for the historian of intellect and society, the essays in this volume provide analysis that advances our understanding of the cultural context of the 11th and 12th centuries. The contribution to our understanding of Anselm's culture is par· ticularly clear in the first and fourth divisions of the volume, the sec· tions dealing with monasticism and Anselm's worldview. In the former division, Glenn Olsen's assessment of " Anselm and Homosexuality" neatly evaluates the evidence for Anselm's sexual orientation made controversial by John Boswell's Christianity, Social Tolerance, and Homosexuality. In fact, the present article, together with its notes, provides a useful summary of the critical literature which has grown up of late around the Boswellian thesis as well as the study of literary expressions of affection in the 11th and 12th centuries. Olsen grasps the... (shrink)

What do the psychoanalyst and the historian have in common? This important question has stimulated a lively debate within the psychoanalytic profession in recent years, bearing as it does on the very nature of the psychoanalytic enterprise. Edwin Wallace, a clinician with training in the history and philosophy of science, brings a ranging scholarly perspective to the debate, mediating between rival perspectives and clarifying the issues at stake in the process of offering his own thoughtful conception of the historical nature (...) of psychoanalysis. For Wallace, the procedures, problems, and interpretive possibilities of psychoanalysis and history are strikingly constant and mutually illuminating. He insists, further, that the fundamentally historical nature of psychoanalysis poses no threat to its scientific dignity. In arriving at this verdict, Wallace pushes beyond his expansive treatment of the many parallels between history and psychoanalysis to a systematic consideration of the problem of causation in both disciplines. Tracing the historical background of causation in science, philosophy, history, and analysis, he offers a logical analysis of determinism and a critique of causal language in psychoanalysis while adumbrating the historical character of psychoanalytic explanation. _Historiography and Causation in Psychoanalysis_ is a thought-provoking work that cuts across disciplinary boundaries. It will cultivate the historical sensibilities of all its clinical readers, broadening and deepening the intellectual perspective they bring to the dialogue about the nature of psychoanalytic work. Timely and rewarding reading for analysts, psychiatrists, and clinical psychologists, it will be welcomed by historians and philosophers as well. (shrink)

What do the psychoanalyst and the historian have in common? This important question has stimulated a lively debate within the psychoanalytic profession in recent years, bearing as it does on the very nature of the psychoanalytic enterprise. Edwin Wallace, a clinician with training in the history and philosophy of science, brings a ranging scholarly perspective to the debate, mediating between rival perspectives and clarifying the issues at stake in the process of offering his own thoughtful conception of the historical nature (...) of psychoanalysis. For Wallace, the procedures, problems, and interpretive possibilities of psychoanalysis and history are strikingly constant and mutually illuminating. He insists, further, that the fundamentally historical nature of psychoanalysis poses no threat to its scientific dignity. In arriving at this verdict, Wallace pushes beyond his expansive treatment of the many parallels between history and psychoanalysis to a systematic consideration of the problem of causation in both disciplines. Tracing the historical background of causation in science, philosophy, history, and analysis, he offers a logical analysis of determinism and a critique of causal language in psychoanalysis while adumbrating the historical character of psychoanalytic explanation. _Historiography and Causation in Psychoanalysis_ is a thought-provoking work that cuts across disciplinary boundaries. It will cultivate the historical sensibilities of all its clinical readers, broadening and deepening the intellectual perspective they bring to the dialogue about the nature of psychoanalytic work. Timely and rewarding reading for analysts, psychiatrists, and clinical psychologists, it will be welcomed by historians and philosophers as well. (shrink)

In lieu of an abstract, here is a brief excerpt of the content:Adolph Meyer’s Psychobiology in Historical Context, and Its Relationship to George Engel’s Biopsychosocial ModelEdwin R. Wallace IV (bio)Keywordspsychobiology, integrative models of psychiatry, biopsychosocial modelBefore addressing the importance of Adolf Meyer and the question of his impact on the biopsychosocial model of the psychoanalytical internist George Engel, let us tersely sketch the history of functionalism in medicine/psychiatry, and of the nineteenth/early twentieth century’s progressive abandonment of it in favor of (...) basic science reductive models of “disease,” not illness.FunctionalismWhereas Hippocratic physicians diagnosed diatheses in terms of humoral excesses or deficiencies, their primary emphasis was on the ill person. They began with careful histories of the patient’s complaints and his or her daily life course, customary activities, typical foods and beverages imbibed, and the exacerbation or relief of symptoms associated with any or all of these. They also asked questions about his physical and social environment. They carefully looked for any clinically pertinent signs, and might physically examine the patient or his excretions. When they arrived at a diagnosis (say, an excess of yellow or black bile, or of blood or phlegm), they would educate the patient about it and discuss possible approaches. Although leeching, emetics, or purgatives might be prescribed, “dietetics” was the core of the treatment. Much more than recommendations about dietary intake, this involved conversations about “lifestyle” management in general: exercise, fresh air, habit changes, and perhaps bathing in mineral waters or spas. If the patient were “melancholic” (which then included what we would now consider a variety of psychiatric disorders), he or she might be prescribed daily swimming and other forms of vigorous exercise, conversations with a philosopher, [End Page 347] attendance at theatrical comedies, or even referral to an Asklepian temple for “incubation sleep” and priestly dream interpretation. Often doctors worked closely with physical trainers, to whom they sent their patients. In short, their orientation was holistic (“mind”/”body” integration), directed first and foremost toward an individual ill person.In the second century, C.E. Galen, despite his humoral and anatomical pathologies, was similarly holistic or functionalist. He resorted to a variety of physical examinational methods while also attending to the patient’s mental/emotional status. He described one case where he was attending a woman for syncopal episodes. His examinations of her included his customary attention to the pulse. During one evening session, a servant entered and happened to mention that he had just seen the handsome Pylades dancing. Suddenly her pulse became irregular and she fainted straight away. This led Galen to consider love sickness, and perhaps not humoral or organ pathology. He tested his hypothesis during subsequent visits. Whenever another dancer or actor was mentioned, her pulse remained regular and her sensorium alert, but when Pylades was mentioned the irregular pulse and fainting recurred. Because she was married, Galen realized her insoluble conflict, and treated her accordingly.From the fall of Rome until the rise of University Medicine in the later Middle Ages, medical lore and doctoring was in monastic hands—each monastery had its clerical medic, who might also attend outsiders. They were attuned to the traditional triad of major mental disorders—mania, melancholia, and phrenitis—which they explained somatically. However, they also encountered lesser mental/emotional disorders for which they developed their own nosology. “Scrupulosity,” for example, characterized a committed monk with an unrealistic sense of sinfulness and guilt—which often drove him to self-mortification such as flagellation, hair shirts with chains underneath, and so forth, for which the remedy was kindly pastoral counseling. “Accedia” was akin to our “dysthymia,” whose sufferer was affected by sadness, lassitude, and impaired capacity to carry out the monastic routine. This was viewed as straddling the boundary between sickness and sin. Routine physical labor (“occupational therapy”) and prayers, confession, penance, and “pep talks” were prescribed.When universities with medical schools arose in the latter Middle Ages, students’ educations were mostly bookish and theoretical. Hippocratic and Galenic somatic orientations were still preeminent. (Vesalius would not publish his illustrated anatomical text until 1543.) Dietetics and purgatives, bloodletting, and so on were still favored treatments. Nevertheless, doctors gave considerable time and attention to their patients as ill... (shrink)

Anti-utopia as a genre of literature has always attracted scientific interest. The result of this interest is a number of definitions of the term ‘anti-utopia‘, none of which is universally accepted, and singling out of peculiar characteristics of such literature. The term ‘young adult anti-utopia‘ and specific features of such novels present a scientific lacuna. Having studied the language means creating the fictional world picture in modern anti-utopian young adult trilogies, the author identifies 15 main features typical of the genre. (...) The results of the research lead to the conclusion that some of the features are universal for the genre of anti-utopia in general: description of a totalitarian state, geographical limitation, vague identification of the past, suffering of the poor, a brave protagonist trying to shatter the existing government, etc. But some other features, mainly, the ones connected with teenage self-identification and alleviation of adolescent stand against the worlds of childhood and adulthood, are typical of young adult anti-utopias: young adult as a protagonist, importance of beauty, ability to sacrifice, a deem hope of a better future preconditioned by evolution of the human race. (shrink)

What is philosophy and what are its distinctive features? What is its relationship to the sciences whose business it is to study the actual world? With what should philosophy concern itself?-These are the fundamental questions dealt with in the article by Alfred Ayer. These questions are important and interesting. The article is written in lively fashion and stimulates a desire to discuss these subjects. There are some matters on which we do not disagree with Ayer, but concur. At the same (...) time we would like to express some objections to certain of his basic positions. (shrink)

Modern physics is developing with extraordinary rapidity. It is passing through a tremendous revolution. The boldest and most fantastic imaginings, which only yesterday appeared virtually unrealizable, are being brought to reality in the course of this revolution.

Knowledge is systemic by its nature. The highest expression of the systematic character of knowledge is to be found in scientific theories. Any scientific theory is a rigorously organized conceptual system, quite complex in structure. What defines the manner in which knowledge is organized in a theory? Is it independent of the nature and structural features of that sphere of the material world for cognition of which the theory was created, or is it conditioned by these features and does it (...) derive from them? Is there a correspondence between the structure of knowledge concentrated in a theory and the structure of that fragment of material reality that is modeled by that theory? Is it possible at all for a theory to be a form of reflection of objective reality, if there is no definite correspondence between its structure and the structure of the region of reality to which it pertains? These questions are of primary importance to the treatment of the theory of scientific knowledge. (shrink)

Socialist society is a society whose basic economic law and goal is the fullest possible satisfaction of human needs. Proceeding from this, the Twenty-fourth Congress of the CPSU set a course for a more profound turn in the economy toward solution of the various tasks related to improving the well-being of Soviet people, not only for the five-year plan period but also as the general orientation of the economic development of the country for the long term.